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Which of the following factors increases the risk for infection in burn patients?

Timely administration of prophylactic antibiotics

Proper hand hygiene by healthcare providers

Adequate wound cleaning and debridement

Delayed wound closure and prolonged healing

Answer and Explanation

The Correct Answer is D

A. Timely administration of prophylactic antibiotics:
Helps reduce infection risk, not increase it.

B. Proper hand hygiene by healthcare providers:
Prevents infection; this is an important part of infection control.

C. Adequate wound cleaning and debridement:
Helps reduce bacterial load and supports healing.

D. Delayed wound closure and prolonged healing:
The longer the wound is open, the greater the risk of infection due to exposed tissue and compromised barrier function.

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Correct Answer is ["B","C","D"]

Explanation

A. Cool the burn with ice water:
Never use ice on burns. It can cause vasoconstriction and worsen tissue injury.

B. Administer opioid analgesics:
Severe pain is common in burn injuries. IV opioids are preferred for rapid onset and titration.

C. Administer systemic antibiotics:
Burn injuries compromise the skin barrier, increasing the risk of infection. Systemic antibiotics may be necessary to prevent or treat infections.

D. Keep extremities elevated:
Elevating extremities helps reduce edema and improve venous return.

E. Remove all sheets and coverings:
Sheets may provide warmth and protection. Removing them indiscriminately may worsen hypothermia or cause further trauma to the skin.

A. Firm nodule with crust B. Pearly papule with and ulcerated center. C. Rough, dry and scaly D. irregularly shaped, irregular borders, brown, tan and black coloring

Correct Answer is D

Explanation

A. Firm nodule with crust:
Suggests squamous cell carcinoma, not melanoma.

B. Pearly papule with an ulcerated center:
Classic for basal cell carcinoma, not melanoma.

C. Rough, dry and scaly:
Suggestive of actinic keratosis, a precursor to squamous cell carcinoma.

D. Irregularly shaped, irregular borders, brown, tan and black coloring:
This is typical of malignant melanoma, which often appears as an asymmetrical lesion with variegated color and irregular borders.

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Which of the following factors increases the risk for infection in burn patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has severe burns. Exhibits Which of the following actions should the nurse take when caring for a client who has severe burns to the lower extremities? Select all that apply.

Correct Answer is ["B","C","D"]

Explanation

A nurse is collecting data from a client who has an arm lesion. Which of the following characteristics is a clinical manifestation of a malignant melanoma?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has contact dermatitis of the neck and upper chest. Which of the following findings should the nurse expect?

When prioritizing the care of a client with burns, which intervention should the nurse implement first?

A nurse is preparing to administer liquid mycostatin 600,000 units PO every 8 hr. Available is mycostatin 100,000 units/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number.)

A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the client's skin integrity?

A nurse is caring for a client who has partial-thickness and full-thickness burns of his head, neck, and chest. The nurse should recognize which of the following is the priority risk to the client?

A nurse is discussing pressure ulcer staging with a newly licensed nurse. Which of the following statements should the nurse use to describe a stage 3 pressure ulcer?

A nurse is caring for a client who has a large wound that has a vacuum-assisted closure device placed over it. Which of the following findings by the nurse indicates healing of the wound?

A nurse is collecting data from four clients who have wounds. The nurse should recognize that which of the following clients has a manifestation of a wound infection?